{
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"EIN": null,
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"FirstName": "SALLY",
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"FirstLineMailingAddress": "PO BOX 522",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLACK DIAMOND",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98010",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-412-1718",
"MailingAddressFaxNumber": "425-413-1035",
"FirstLinePracticeLocationAddress": "23862 SE KENT KANGLEY",
"SecondLinePracticeLocationAddress": "C/O PARTAIN CHIROPRACTIC",
"PracticeLocationAddressCityName": "MAPLE VALLEY",
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"PracticeLocationAddressPostalCode": "98038",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-413-1718",
"PracticeLocationAddressFaxNumber": "425-413-1035",
"EnumerationDate": "08/21/2006",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA00003060",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}